Ukwelapha i-Canine ne-Feline Heart Heart nge-Pimobendan
I-Pimobendan (i-Vetmedin®) imithi ye-heart ebizwa ngokuthi isisetshenziswa esivame ukusetshenziswa njalo ngezinja ezinesifo senhliziyo. Kuvunyelwe ukusetshenziswa e-United States ngezinja ezinezinhliziyo ezihlulekayo (CHF) ezibangelwa yi-cardiomyopathy noma i-mitral valve.
Nakuba i-pimobendan ivunyelwe kuphela ukusetshenziswa kwezinja, ngezinye izikhathi isetshenziswe ngaphandle kwelebuli kumakati kanye nokwelapha ukuhluleka kwenhliziyo, ikakhulukazi lapho kwenzeka khona ukuthuthukiswa kwamakhono ezinhlanzi zenhliziyo.
Kodwa-ke, ukusetshenziswa kwayo kwamakati kuseyinkinga enkulu.
Indlela i-Pimobendan (i-Vetmedin®) esebenza ngayo ukuhluleka kwenhliziyo yezinja nezinja
I-Pimobendan inezindlela ezimbili ezahlukene zokuthuthukisa umsebenzi wenhliziyo. Isebenza emzimbeni wenhliziyo ngokwayo ukuthuthukisa ikhono layo lokusebenza ngokujwayelekile. Lokhu kubizwa ngokuthi umsebenzi we-inotrophi. Ibuye ihlanza imithwalo yegazi kuwo wonke umzimba, ohlinzeka kancane ukuphikisana nokugeleza kwegazi futhi kwenza kube lula ngenhliziyo ukupompa igazi lapho kudingeka khona.
I-Pimobendan Kufanele Yenzelwe Nini Izinja Namakati?
Iningi labahlengikazi bakhetha ukuphatha i-pimobendan kuphela ezinja ezihlukunyezwa yinhliziyo. Kodwa-ke, abambalwa ngezinye izikhathi batusa ukunikeza imithi uma isifo senhliziyo sisitholakali kodwa ngaphambi kokuhlukunyezwa kwenhliziyo. Lokhu kusetshenziselwa ukuphikisana futhi kungenzeka noma kungabi ngempumelelo ekunciphiseni ukuqhubeka kwezifo.
Ngenxa yokuthi i-pimobendan okwamanje ayibhaliwe ukuze isetshenziswe kumakati, ukusetshenziswa kwayo kuyinkinga. Abanye bezilwane zezilwane baye bakusebenzisa ngempumelelo. Kodwa-ke, kukhonjelwa kwezinye izinhlobo zezifo zenhliziyo ezivamile emakati (njenge-cardioomyopathy hypertrophic noma i-HCM.)
Ingabe Zikhona Izikhathi Lapho I-Pimobendan Engayisebenzisi?
I-Pimobendan iphikisana ne-hypertrophic cardiomyopathy, i-aortic stenosis noma ezinye izinhlobo zesifo senhliziyo lapho ukwandisa inani legazi okumele linyanyiswe yi-ventricles yenhliziyo kuyingozi kulesilwane.
I-Pimobendan kufanele iphinde isetshenziswe ngokucophelela ezilwaneni ezine-arrhythmias zenhliziyo, ikakhulukazi uma i-arrhythmias ingalawulwa kahle.
Uma isilwane sakho sizwela imithi, akufanele sithole i-pimobendan.
Ngaphezu kwalokho, ngokusho kwelebula ye-pimobendan, akukahlolwa ngokugcwele "ezinja ezincane ezingaphansi kwezinyanga eziyisithupha ubudala, izinja ezineziphene zenhliziyo, isifo sikashukela noma ezinye izifo eziyingozi kakhulu, izinja ezisetshenziselwa ukuzalanisa, noma izinyembezi ezikhulelwe noma ezilahlayo . "
Imiphumela engase ibe khona ye-Pimobendan
Kubalulekile ukuthi uqaphele ukuthi ezinye zalezi "zindlela ezimbi" zingase zibangelwe isifo senhliziyo kunomphumela wokunikeza i-pimobendan.
Imiphumela emibi engaba khona ebhalwe phansi nge-pimobendan ihlanganisa ukuntuleka kokudla, ukucindezeleka, isifo sohudo, ukuphefumula kanzima, ubuthakathaka, ukungalingani, i-azotemia (ukwanda kwemikhiqizo yamanzi egazini egazini), ukwakhiwa kwamanzi emgodini wesifuba, ukuphelelwa amandla, ukukhwehlela, inhliziyo ukukhononda nokufa okungazelelwe.
Kunokukhathazeka okunye ukuthi i-pimobendan ingase ikhulise ingozi ye-arrhythmias. Kodwa-ke, ngoba isifo senhliziyo singabangela ama-arrhythmias, kunzima ukunquma ukuthi i-arrhythmia ingumphumela oqondile we-pimobendan noma nje ukubonakaliswa kwesifo senhliziyo senja.
I-Pimobendan (i-Vetmedin®) iyisidakamizwa esivunyelwe ukusetshenziswa ezinja ngokuhlukunyezwa kwenhliziyo ngenxa yokugula komzimba noma isifo se-mitral valve. Ngezinye izikhathi kusetshenziselwa amakati kodwa ukusetshenziswa kwayo kwamakati kunengxabano kunokuba kusetshenziswe izinja.
Sicela uqaphele: lesi sihloko sinikeziwe ngezinhloso zokwaziswa kuphela. Uma isilwane sakho sibonisa noma yiziphi izimpawu zokugula, sicela uthintane nodokotela wezilwane ngokushesha ngangokunokwenzeka.